This provider's $26.9M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $112.99 | $55.25 | 2.05x | $57.74 | $4.3M | 143.6K | 102.7K |
| 2015 | $229.76 | $148.86 | 1.54x | $80.90 | $5.9M | 246.3K | 157.7K |
| 2016 | $505.32 | $299.53 | 1.69x | $205.79 | $6.0M | 41.8K | 34.0K |
| 2017 | $369.89 | $178.44 | 2.07x | $191.45 | $5.0M | 30.5K | 24.1K |
| 2018 | $272.50 | $59.48 | 4.58x | $213.02 | $2.7M | 23.3K | 17.7K |
| 2019 | $207.64 | $36.21 | 5.73x | $171.43 | $931.3K | 10.3K | 7.5K |
| 2020 | $380.49 | $124.76 | 3.05x | $255.73 | $825.0K | 8.0K | 2.7K |
| 2021 | $387.57 | $125.55 | 3.09x | $262.02 | $800.3K | 13.0K | 3.2K |
| 2022 | $388.32 | $123.96 | 3.13x | $264.36 | $442.4K | 6.7K | 1.6K |
| 2023 | $468.56 | $152.45 | 3.07x | $316.11 | $32.4K | 213 | 135 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 20.7K | $4.7M | $227.99 | 6.38x |
| 81401 | Molecular pathology procedure level 2 | 9.1K | $1.2M | $136.99 | 2.03x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 13.9K | $1.2M | $85.21 | 3.49x |
| 81226 | Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common variants | 2.6K | $1.2M | $442.09 | 2.05x |
| G0480 | Drug test def 1-7 classes | 9.9K | $1.1M | $112.71 | 5.62x |
| 81211 | Gene analysis (breast cancer 1 and 2) full sequence and common duplication or deletion variants | 486 | $1.0M | $2.1K | 1.10x |
| 81400 | Molecular pathology procedure level 1 | 8.1K | $979.0K | $120.17 | 1.91x |
| 80307 | Testing for presence of drug | 13.2K | $919.7K | $69.44 | 8.27x |
| G0482 | Drug test def 15-21 classes | 4.5K | $878.1K | $194.49 | 6.94x |
| 81241 | Gene analysis (coagulation factor V) Leiden variant | 9.0K | $732.4K | $81.27 | 2.16x |
| 81408 | Molecular pathology procedure level 9 | 400 | $646.8K | $1.6K | 1.44x |
| 81240 | Gene analysis (prothrombin, coagulation factor II) A variant | 9.0K | $591.6K | $65.66 | 2.16x |
| 81225 | Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 19) common variants | 2.0K | $575.6K | $285.93 | 1.92x |
| 81402 | Molecular pathology procedure level 3 | 3.3K | $531.1K | $163.02 | 1.72x |
| 81291 | Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants | 9.0K | $527.7K | $58.48 | 2.17x |
| G0481 | Drug test def 8-14 classes | 2.5K | $381.4K | $151.83 | 6.42x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) full sequence analysis | 481 | $368.8K | $766.66 | 1.39x |
| G6046 | Dihydromorphinone | 10.4K | $355.5K | $34.27 | 2.06x |
| 83992 | PCP drug level | 16.4K | $321.6K | $19.62 | 3.34x |
| 81292 | Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis | 488 | $309.4K | $634.09 | 1.28x |
This provider submits charges 3.43 times higher than what Medicare actually pays.
A markup ratio of 3.43x means for every $100 Medicare pays, this provider initially charges $343. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Laboratory providers in GA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tucker, GA | $599.2M | ⚠️ Flagged |
| Bakotic Pathology Associates, Llc | Alpharetta, GA | $87.9M | ✓ Clear |
| Clinical Laboratory Services, Inc. | Winder, GA | $60.1M | ✓ Clear |
| Lifebrite Laboratories, Llc | Brookhaven, GA | $48.1M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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